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J5 WPS: Nebraska Medicare

Wisconsin Physician Services (WPS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction 5, which includes the state of Nebraska. If you are a provider located in the State of Nebraska and need to become an electronic submitter for your Medicare A/B Claims, please follow the enrollment instructions below.

Required Process for those applying for new EDI Submitter IDs

WPS recently implemented their new WPS Community Manager Self-Service tool for Trading Partner enrollment and management. This will allow you to create your own account, register your line of business and transactions, and retrieve and submit agreements.

On the following screen, please select "X12" as the document to exchange

Please click "Finish Registration"

Please press "Confirm and Submit"

You will then receive a series of emails from WPS outlining the next steps in registration. In one of the emails, you will be given a temporary password to use with the email address you provided in Step 1. You will click the link in the email and it will take you back to their site to finish registration.

Step 2

Trading Partner/Submitter ID Enrollment Information

Once you have logged in, please select "Direct Submitter"

Please do not check the box to deactivate the trading partner account

Please select "Auto-Assigned"

Check the box to include EDI Software Vendor information

Please see below for our vendor information

We are listed as ClaimShuttle on their list

Please press "Submit"

Once you press Submit you must complete the following steps to finalize setup of Submitter account.

You will receive an email request to complete the Connectivity Agreement

Please see below for instructions on completing the Connectivity Agreement

Please use the User Name/Password provided in the agreement email to access the WPS Managed File Transfer system

Once the form has been submitted and the agreement has been uploaded, WPS will receive notification to review the document

Once review is complete, you will be sent a notification to confirm successful receipt

WPS Connectivity Agreement

This PDF document must be filled out, signed, then manually uploaded to their WPS Managed File Transfer System.

Please enter your name, title, email address and signature

Please fill in the legal name of the Trading Partner (your company or provider)

Enter your address, contact information, and Tax ID

Print then sign and manually upload

The file name must include the unique Tracking ID or it won't be processed

Step 3

Line of Business/Transaction Configuration Edit form

This form will allow you to enroll in electronic transfers with WPS. You can access this by selecting the URL provided in the Submitter registration confirmation or through the following URL: https://edi.wpsic.com/fv/run/1547927371/5499

On the following screen, select the following transaction types:

"5010 835 Remittance Advice" to get your remits sent to you electronically

"5010 Professional Claim Inbound" if you send professional claims (CMS 1500 if done by paper)

Please keep this information as we will need it to set up your mailbox in SolAce.

Please select your State/Line of Business

For the file type, please check the box for "X12"

Please do not check the box for "Compression enabled"

For Transaction methods, please select "SFTP"

For Network Service Vendor please enter ClaimShuttle

Please do not check the box to deactivate transactions

Please press "Submit"

Upon completion of the LOB/TXN Configuration Edit form, you will receive emails that provide the Provider Agreement, which must be uploaded to their Managed File Transfer system, and you will be sent a link for the EDI registration form. If you are both Submitter and Provider, you will fill out the "Submitter EDI Registration and Management of Provider form". If you are going through a Billing Service and won't be submitting claims yourself, you will fill out the "Provider EDI Self-Registration" form.

WPS Provider Agreement

This PDF document must be filled out, signed, then manually uploaded to their WPS Managed File Transfer System.

Please enter your Company/Provider Name

Please enter your Tax ID and NPI

Please enter your address

Once done, enter your title, printed name, signature and date

You will need to manually upload this to their site and the file name must include the unique Tracking ID or it won't be processed

Submitter EDI Registration and Management of Provider form

This form is for Providers who are also Submitters

Please select your division

Please select your transactions (same as above)

Do not check the box to deactivate

Press "Submit"

Provider EDI Self-Registration

This form is for Providers who are not Submitters (such as those going through a 3rd party Billing Service)

Please enter your Email Address

Select your Division

Select your Line of Business

Please enter your Tax ID, NPI, and Submitter ID

Please enter your Submitter Name

Please click "Next" then select your transactions again

Please click "Submit"

You will receive further email notifications from WPS confirming receipt of your enrollment paperwork and advising you to begin testing. Please call SolAce for assistance with testing at 602-439-2525.

Testing

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Once testing is complete, the "Line of Business/Transaction Production Approval Form" must be completed in order to obtain production approval.

Line of Business/Transaction Production Approval Form

Please select your transaction type (same as above)

Please enter your Submitter ID

Please select your Line of Business

Please enter your Successful Transaction ID

This ID is received upon submitting a successful transaction. It can be found in the submitters Audit Log of the successful test submitted.

Please press Submit once the form has been completed

You will then receive an email stating whether production approval has been granted or denied. Once you have been given production approval you will need to contact your SolAce Support Representative so they can finish the setup and assist with your first production batch.

WPS has published a guide to assist with enrollment which can be accessed here. You may refer to the guide for further information on the process outlined above or they can be reached by calling 1-866-518-3285.

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